Monday, October 29, 2018

Many of my Houston rhinoplasty patients inquire about upper eyelid surgery or lower eyelid surgery at the same time of their nose job surgery. Rhinoplasty can be performed at the same time as eyelid surgery. Bruising after rhinoplasty typically occurs around the eyes and therefore eyelid surgery may cause a little more bruising or swelling but not significantly. Typically the eyelid portion of the surgery is performed first followed by the rhinoplasty. Rhinoplasty is not as sterile of a procedure as eyelid surgery as the inside of the nose cannot be prepped sterilely. Lower eyelid bags surgery and rhinoplasty can truly give a more youthful, refreshed, and enhanced appearance as rhinoplasty will eliminate the distraction of a crooked nose, nasal hump, or bulbous tip and move the focus to the eyes which will look that much more refreshed with lower eyelid blepharoplasty.

Dr. Funk is a top rhinoplasty and eyelid surgery expert in Houston, Texas.

Wednesday, October 24, 2018

Some of my Houston rhinoplasty patients receive a steroid injection into the nose anywhere between the 1 month to 6 month mark after surgery. Patients with thicker skin or fullness in the area just superior to the tip of the nose may benefit from this injection. After rhinoplasty, the tip should be just slightly higher than the supra tip region. Therefore, there is a small empty space just behind the nasal tip that could be filled with scar tissue by the body. A small steroid or Kenalog injection will break up some of this scar tissue and prevent further deposition of the scar tissue in the region. This will allow for this supra tip break to occur. Sometimes a second or third steroid injection may be necessary.

Tuesday, October 23, 2018

Many of my Houston eyelid surgery patients inquire about the scars left after eyelid surgery or blepharoplasty. Upper eyelid surgery requires excision of excess eyelid skin and the scar is typically left in the crease of the upper eyelid. A small portion of the scar will extend into a small crow’s feet wrinkle laterally. This is the portion of the upper eyelid surgery scar that will take the longest to heal and disappear. This portion of the scar will seem a little pink during the first few weeks but by 10 weeks should begin to disappear. Makeup can be worn over the scar after 10 days.

For lower blepharoplasty or lower eyelid bags surgery, the transconjunctival approach goes through the inside pink portion of the eyelid and therefore leaves no visible scar. However, if there is excess skin, a skin pinch is taken just 1-2mm below the lash line. This scar heals very well and disappears into small wrinkles in the area and is in a shadowed area below the lower eyelid lashes.

Thursday, October 18, 2018

Many of my Houston facelift patients ask about wrinkles around their mouth and eyes. Laser resurfacing around the mouth or eyes is a common procedure and can be performed at the same time or immediately postop after a facelift. Resurfacing in the area where the skin is elevated is not advised during the time of the facelift but can be done 6-12 weeks later once things have healed.

Wednesday, October 17, 2018

Many of my Houston revision rhinoplasty patients question about having revision rhinoplasty with their original surgeon. Revision rhinoplasty is a very difficult surgery and requires a surgeon who has significant experience with rhinoplasty. Fortunately, my revision rate is quite low for my own patients so the issue of cost for a revision rhinoplasty with the same surgeon does not come up as often. However, if my patients do require a minor revision, this can be done in the office under local anesthesia at no cost. If a more involved revision is required that necessitates a trip to the operating room, the surgeon’s fees are waived and the patient is only responsible for the anesthesia and facility fee.